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Researchers want to learn if V940 with pembrolizumab can stop advanced melanoma from growing or spreading. Melanoma is a type of skin cancer. Advanced means the cancer has spread to other parts of the body and cannot be removed with surgery. A standard (or usual) treatment for advanced melanoma is immunotherapy. Immunotherapy is a treatment that helps the immune system fight cancer. V940 is a study treatment designed to help a person's immune system attack their specific cancer. Pembrolizumab is an immunotherapy. The goal of this study is to learn if people who receive V940 with pembrolizumab live longer without the cancer growing or spreading than people who receive placebo with pembrolizumab. A placebo looks like the study treatment but has no study treatment in it. Using a placebo helps researchers better understand the effects of a study treatment.
Conditions:
Malignant MelanomaLocation:
- William Osler Health System (Brampton Civic Hospital) ( Site 2023), Brampton, Ontario, Canada
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ALLAges:
Over 18The SIMBA Capsule is a small, single-use, ingestible capsule that allows for the non-invasive sampling of small bowel contents using purely mechanical means. The study will compare the microbial and metabolomics analysis from the sample collected with the capsule series, to same-participant symptom questionnaires and stool microbial analysis.
Conditions:
Healthy | Celiac Disease | Crohn Disease | Ulcerative Colitis | Type 2 Diabetes | Irritable Bowel...Location:
- Nimble Science, Calgary, Alberta, Canada
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ALLAges:
18 - 80Women with Polycystic Ovary Syndrome (PCOS) have high testosterone levels which is associated with altered insulin-glucose metabolism and an adverse blood lipid profile, predisposing them to the development of Type II Diabetes and Cardiovascular Disease (CVD). This study will investigate the use of dietary fish oil supplementation as a safe and effective intervention, and as an adjunct therapy to standard of care treatment with metformin to improve heart health, blood lipids and insulin-glucose metabolism in women with PCOS, and those with PCOS and Type 2 Diabetes.
Conditions:
Cardiovascular Disease | PCOS | Atherosclerotic Cardiovascular Disease | Atherosclerotic Plaque | Cardiac HypertrophyLocation:
- University of Alberta Hospital - Division of Endocrinology, Edmonton, Alberta, Canada
- Human Nutrition Research Unit - Li Ka Shing Health Research Center, Edmonton, Alberta, Canada
- Mazankowski Alberta Heart Institute, Edmonton, Alberta, Canada
Sex:
FEMALEAges:
25 - 45The purpose of this study is to assess the risk of bleeding due to failure of expected pharmacological action of CSL222 in adults with severe or moderately severe hemophilia B with detectable pretreatment AAV5 Nabs.
Conditions:
Hemophilia BLocation:
- McMaster University - Hamilton - 12400017, Hamilton, Ontario, Canada
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Over 18The primary goal of this study is to test the hypothesis that oral nabilone treatment will reduce agitation compared with placebo in patients with Frontotemporal Dementia (both behavioural variant frontotemporal dementia and primary progressive aphasia). The study population is defined as patients with probable Frontotemporal Dementia that meet the International Psychogeriatric Association criteria for agitation in cognitive disorders.
Conditions:
Frontotemporal Dementia | Primary Progressive Aphasia | FTD | PPA | Frontotemporal Dementia, Behavioral Variant | bvFTDLocation:
- Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
- The Douglas Research Centre, Montreal, Quebec, Canada
- Baycrest Hospital, University of Toronto, Toronto, Ontario, Canada
- Brain and Mind Institute, University of Western Ontario, London, Ontario, Canada
- CHU de Québec, Université Laval, Laval, Quebec, Canada
- University of British Columbia, St Paul's Hospital, Vancouver, British Columbia, Canada
- Western Hospital - University of Toronto, Toronto, Ontario, Canada
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Over 18Forensic patients often display cognitive deficits, particularly in the domain of executive functions, that represent a challenge to forensic rehabilitation. One empirically-validated method to train executive functions is cognitive remediation, which consists of cognitive exercises combined with coaching. This trial investigates whether cognitive remediation can improve cognitive, functional, and clinical outcomes in forensic inpatients.
Conditions:
Anxiety | Aggression | Schizophrenia | Substance Use Disorders | Violence | Depression |...Location:
- The Royal's Institute of Mental Health Research, Ottawa, Ontario, Canada
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ALLAges:
18 - 55The mental hygiene challenge is a Royal Ottawa Health Care Group led initiative to engage the staff, clients and community members to attend to their mental well-being by way of practicing mental hygiene activities for 10 min on a daily basis, throughout the month of March. Participants are encouraged to choose one or many of the practices recommended and do them for about 10 minutes a day. Participants are encouraged to make it their own, in that they can combine the practice or tailor them in a way that suits them best. When signing up for the challenge, participants receive free access to a toolkit with brief outlines and instructional videos on various mental hygiene practices. Study investigators also encourage participants to divide the 10 minutes in whatever way best works for them, such as 10 minutes all at once, 5 minutes twice, or even 2 minutes five times. This study aims to expand on the work that was done in 2022 and 2023, when the World Health Organization - 5 Wellbeing Index (WHO-5) and the Warwick Edinburgh Mental Wellbeing Scale (WEMWBS) were collected from participants to ascertain the impact of mental hygiene, by way of including a control group.
Conditions:
Mental WellbeingLocation:
- The Royal, Ottawa, Ontario, Canada
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ALLAges:
Over 18People with rheumatic conditions often take many medications, but more pills can increase the risk of side effects, especially in older adults. Some drugs (such as those intended to help pain or sleep) may cause more harm than good in the long term, and others may simply be no longer needed. These are known as 'potentially inappropriate medications' (PIMs). This quality improvement study focuses on people with rheumatic conditions aged 60 and over who take 5 or more daily medications. The goal of the study is to learn if a publicly available physician tool, MedSafer, combined with educational brochures (for patients), can help to reduce PIMs in this group. Researchers will follow participants during usual rheumatic disease care. They will compare the rate of PIM deprescribing (stopping medications or reducing the dose) before and after the introduction of the following 'bundle': * MedSafer reports provided to treating physicians * EMPOWER consumer brochures provided to patients Participants will be followed over 4 study visits (for 14-18 months) during which researchers will collect information on medication changes and serious adverse events (emergency visits or hospitalizations) and will complete questionnaires measuring quality of life.
Conditions:
Rheumatic Diseases | Inflammatory Arthritis | Vasculitis | Systemic Autoimmune Diseases | Muskuloskeletal...Location:
- Montreal General Hospital, McGill University Health Centre, Montreal, Quebec, Canada
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Over 60The objective of this study is to demonstrate the efficacy and response of novel Magnetic Resonance Imaging (MRI)-guided ultrasound stimulated microbubble treatment to enhance radiation effects in humans receiving external beam radiotherapy delivered using a LINAC (linear accelerator) radiation therapy device.
Conditions:
Breast CancerLocation:
- Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
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Over 18This study is being done to learn about etavopivat, a once a day medicine taken by mouth in adolescents with sickle cell disease. The main goals are to study safety and how long etavopivat stays in the bloodstream, while also studying if there are benefits from taking etavopivat. Eligible participants who enter the study will start a 96-week treatment period. At the end of the 96 weeks, participants will have an end of study visit that occurs 4 weeks later. The participants will receive etavopivat every day throughout the treatment period.
Conditions:
Sickle Cell DiseaseLocation:
- The Hospital for Sick Children, Toronto, Ontario, Canada